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The effect of a nurse led telephone supportive care programme on patients’ quality of life, received information and health care contacts after oesophageal cancer surgery—A six month RCT-follow-up study

Malmström, Marlene LU ; Ivarsson, Bodil LU ; Klefsgård, Rosemarie LU ; Persson, Kerstin; Jakobsson, Ulf LU and Johansson, Jan LU (2016) In International Journal of Nursing Studies 64. p.86-95
Abstract

Background Following oesophagectomy, a major surgical procedure, it is known that patients suffer from severely reduced quality of life and have an unmet need for postoperative support. Still, there is a lack of research testing interventions aiming to enhance the patients’ life situation after this surgical procedure. Aim The aim of the study was to evaluate the effect of a nurse led telephone supportive care programme on quality of life (QOL), received information and the number of healthcare contacts compared to conventional care following oesophageal resection for cancer. Method The study was designed as a randomized controlled trial (RCT) aiming to test the effect of a nurse led telephone supportive care program compared to... (More)

Background Following oesophagectomy, a major surgical procedure, it is known that patients suffer from severely reduced quality of life and have an unmet need for postoperative support. Still, there is a lack of research testing interventions aiming to enhance the patients’ life situation after this surgical procedure. Aim The aim of the study was to evaluate the effect of a nurse led telephone supportive care programme on quality of life (QOL), received information and the number of healthcare contacts compared to conventional care following oesophageal resection for cancer. Method The study was designed as a randomized controlled trial (RCT) aiming to test the effect of a nurse led telephone supportive care program compared to conventional care. Patient assessments were conducted at discharge, 2 weeks, 2, 4 and 6 months after discharge and comprised evaluation of QOL, received information and the number of health care contacts. Statistical testing were conducted with repeated measurements analysis of variance to test if there were differences between the groups during follow-up. Result The results show that the intervention group was significantly more satisfied with received information for items concerning the information they received about things to do to help yourself, written information and for the global information score. The control group scored significantly higher on the item regarding wishing to receive more information and wish to receive less information. No effect of the intervention was shown on QOL or number of health care contacts. Conclusion Proactive nurse-led telephone follow-up has a significant positive impact on the patients’ experience of received information. This is likely to have a positive effect on their ability to cope with a life that may include remaining side effects and adverse symptoms for a long time after surgery.

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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Esophagus, Follow-up studies, Quality of life
in
International Journal of Nursing Studies
volume
64
pages
10 pages
publisher
Elsevier
external identifiers
  • scopus:84989200788
ISSN
0020-7489
DOI
10.1016/j.ijnurstu.2016.09.009
language
English
LU publication?
yes
id
a82f74b0-3742-4dbc-b4fc-832eef6b77a8
date added to LUP
2016-10-12 10:31:18
date last changed
2017-01-01 08:36:27
@article{a82f74b0-3742-4dbc-b4fc-832eef6b77a8,
  abstract     = {<p>Background Following oesophagectomy, a major surgical procedure, it is known that patients suffer from severely reduced quality of life and have an unmet need for postoperative support. Still, there is a lack of research testing interventions aiming to enhance the patients’ life situation after this surgical procedure. Aim The aim of the study was to evaluate the effect of a nurse led telephone supportive care programme on quality of life (QOL), received information and the number of healthcare contacts compared to conventional care following oesophageal resection for cancer. Method The study was designed as a randomized controlled trial (RCT) aiming to test the effect of a nurse led telephone supportive care program compared to conventional care. Patient assessments were conducted at discharge, 2 weeks, 2, 4 and 6 months after discharge and comprised evaluation of QOL, received information and the number of health care contacts. Statistical testing were conducted with repeated measurements analysis of variance to test if there were differences between the groups during follow-up. Result The results show that the intervention group was significantly more satisfied with received information for items concerning the information they received about things to do to help yourself, written information and for the global information score. The control group scored significantly higher on the item regarding wishing to receive more information and wish to receive less information. No effect of the intervention was shown on QOL or number of health care contacts. Conclusion Proactive nurse-led telephone follow-up has a significant positive impact on the patients’ experience of received information. This is likely to have a positive effect on their ability to cope with a life that may include remaining side effects and adverse symptoms for a long time after surgery.</p>},
  author       = {Malmström, Marlene and Ivarsson, Bodil and Klefsgård, Rosemarie and Persson, Kerstin and Jakobsson, Ulf and Johansson, Jan},
  issn         = {0020-7489},
  keyword      = {Esophagus,Follow-up studies,Quality of life},
  language     = {eng},
  month        = {12},
  pages        = {86--95},
  publisher    = {Elsevier},
  series       = {International Journal of Nursing Studies},
  title        = {The effect of a nurse led telephone supportive care programme on patients’ quality of life, received information and health care contacts after oesophageal cancer surgery—A six month RCT-follow-up study},
  url          = {http://dx.doi.org/10.1016/j.ijnurstu.2016.09.009},
  volume       = {64},
  year         = {2016},
}